THOMAS E VAN DYKE Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000752

License Status

INACTIVE

Business

First Name

THOMAS E

Last Name

VAN DYKE

Business Name

THOMAS E VAN DYKE

Original Issue Date

02/07/1996

Effective Date

12/27/2023

Expiration Date

03/01/2026

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

02/06/2025